DR. JOHN KACZMAREK


Address: 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507
Phone: 2037542535

DR. JOHN KACZMAREK (NPI# 1134169204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134169204
Entity Type Individual
Full Name DR. JOHN KACZMAREK
Credential MD
Practice Address 134 Grandview Ave
Suite 210
Waterbury
CT 06708-2507
Practice Telephone 2037542535
Practice Fax Number 2037569921
Mailing Telephone 2037542535
Mailing Fax Number 2037569921
Enumeration Date 2006-06-07
Last Update Date 2010-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 033371 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001333715 05

Other Providers JOHN KACZMAREK

NPI Name Taxonomy Address Enumeration
1639145584 John F Kaczmarek Anesthesiology 3611 S Soncy Rd, Suite 5-b, Amarillo, TX 79119-6480 2006-02-28

Office Location

Street Address 134 GRANDVIEW AVE
SUITE 210
City WATERBURY
State CT
Zip Code 06708-2507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114928827 Specialists In Women's Healthcare PC Advanced Practice Midwife 134 Grandview Ave, Ste 210, Waterbury, CT 06708-2507 2005-08-03
1245714567 Barbara Rymer Nurse Practitioner 134 Grandview Ave, Waterbury, CT 06708-2507 2018-09-21
1407120751 Vanessa Daou Advanced Practice Midwife 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 2012-03-05
1205144300 Daniel P Baxter Physician Assistant 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 2010-09-23
1811204985 Kathleen Lea Sullivan Nurse Practitioner 134 Grandview Ave, 208, Waterbury, CT 06708-2507 2010-09-09
1114232832 Theresa F Piliero Nurse Practitioner 134 Grandview Ave, Suite 202, Waterbury, CT 06708-2507 2010-08-18
1194956045 Kristen D Graff Beardslee Advanced Practice Midwife 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 2009-07-27
1922245745 Kelly Lynn Palmer Occupational Therapist 134 Grandview Ave, Waterbury, CT 06708-2507 2009-01-15
1548423973 Jenna A Logiudice Obstetrics & Gynecology 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 2008-07-07
1285821603 Cybill Shelby Thomas Nurse Practitioner 134 Grandview Ave, Waterbury, CT 06708-2507 2007-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952864787 Sidhant Singh Student in an Organized Health Care Education/Training Program Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 2019-04-09
1023574753 Santa Maria & Schneider D.m.d Waterbury LLC Dentist 276 Highland Ave., Waterbury, CT 06708 2019-02-19
1548766959 Caroline Johnssen Student in an Organized Health Care Education/Training Program Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 2018-04-04
1992209530 Valley Wellness Consulting Group LLC Social Worker 969 W Main Street, Suite 3e, Waterbury, CT 06708 2018-03-20
1306346457 C&s Family Dental Waterbury, LLC Dentist 1630 Watertown Ave, Waterbury, CT 06708 2018-02-15
1447759865 Inurse Homecare, LLC. Home Health 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 2018-02-12
1619423977 Robert Girard II Counselor 969 West Main Street, Suite 1 D, Waterbury, CT 06708 2016-08-28
1457734360 Alternatives, Inc. Intermediate Care Facility, Mentally Retarded 148 Highview St, Waterbury, CT 06708 2015-07-09
1407266901 Maria Munoz Obstetrics & Gynecology 140 Grandview Ave Ste 202, Waterbury, CT 06708 2014-05-06
1922420330 Danielle Moraes Social Worker 276 Highland Av 2nd Fl North, Waterbury, CT 06708 2014-01-21
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407266901 Maria Munoz Obstetrics & Gynecology 140 Grandview Ave Ste 202, Waterbury, CT 06708 2014-05-06
1649235235 Gabriel George Hakim Obstetrics & Gynecology 18 Merrill St, Waterbury, CT 06708-2603 2006-04-18
1851354534 Linda M Matonis Obstetrics & Gynecology 133 Scovill St, Suite 303, Waterbury, CT 06706-1127 2006-04-11
1467832675 Christine Simone Armstrong Obstetrics & Gynecology 140 Grandview Ave Ste 202, Waterbury, CT 06708 2015-06-02
1871898536 Naugatuck Valley Women's Health Specialists, PC Obstetrics & Gynecology 133 Scovill St, Suite 314, Waterbury, CT 06706-1127 2011-01-11
1548423973 Jenna A Logiudice Obstetrics & Gynecology 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 2008-07-07
1518129741 Molly Margaret Shipman Obstetrics & Gynecology 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 2008-06-29
1124280631 Meghan Marie Slemmens Obstetrics & Gynecology 140 Grandview Ave, Waterbury, CT 06708-2505 2008-06-26
1750558656 Elizabeth Anne Kelly Obstetrics & Gynecology 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 2008-05-12
1497945315 Claudia L Grogean Obstetrics & Gynecology 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 2007-07-26
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Competitor

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City WATERBURY
Zip Code 06708

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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